Organization
NORTHWEST VESTIBULAR SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL KILLINGSWORTH AUD (OWNER)
(206) 325-0645
Entity
Organization
Contact information
Practice address
418 1ST AVE W, SEATTLE, WA 98119-4018
(206) 325-0645
(206) 283-9815
Mailing address
418 1ST AVE W, SEATTLE, WA 98119-4018
(206) 325-0645
(206) 283-9815
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
CD00001153
WA
231HA2400X
Assistive Technology Practitioner Audiologist
CD00001153
WA
231HA2500X
Assistive Technology Supplier Audiologist
CD00001153
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209957
L&I
WA
Enumeration date
03/16/2007
Last updated
02/21/2011
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